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Organization
PLASTIC SURGERY AESTHETICS PC
Active
Organization
PLASTIC SURGERY AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN M KENNEDY M.D. (PRESIDENT)
(563) 589-9119
Entity
Organization
Contact information
Practice address
200 MERCY DR STE 101, DUBUQUE, IA 52001-7392
(563) 589-9119
(563) 589-9112
Mailing address
200 MERCY DR STE 101, DUBUQUE, IA 52001-7392
(563) 589-9119
(563) 589-9112
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
31852
IA
Other
Enumeration date
10/19/2009
Last updated
10/23/2009
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